IE Medication Events Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: IE MPD MedicationDispense (eDispensation)

An Irish electronic dispensation record (HIQA EP Section 6), derived from the HL7 Europe MPD MedicationDispense. Covers a completed dispense, a partial or instalment dispense, and a non-dispensation (declined or stopped, with a reason).

Usages:

• Examples for this Profile: MedicationDispense/hiqa-md-s1-amoxicillin, MedicationDispense/hiqa-md-s3-balance, MedicationDispense/hiqa-md-s3-part-fill, MedicationDispense/hiqa-md-s3-repeat-1... Show 2 more, MedicationDispense/hiqa-md-s4-instalment-1 and MedicationDispense/hiqa-md-s5-declined

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispenseEuMpd(1.0.0)	Dispensing a medication to a named patient Constraints: mdd-1, ie-md-status-1, ie-md-handover-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:renderedDosageInstruction	O	0..1	markdown	Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1 Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
extension:recorded	SO	1..1	dateTime	R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1 Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
extension:receiverRelatedPerson		0..1	Reference(IE MPD RelatedPerson(0.1.0))	IE MPD Dispense Receiver (Related Person) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-dispense-receiver-related-person Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	S	1..*	Identifier	External identifier
status	?!SOΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
statusReason[x]	S	0..1		Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
Slices for medication[x]	SOΣ	1..1		What medication was supplied Slice: Unordered, Closed by type:$this Binding: IEMpdMedicationCodes (0.1.0) (extensible) Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication: MPD(1.0.0))	What medication was supplied
subject	SOΣ	1..1	Reference(IE MPD Patient (ePrescription/eDispensation)(0.1.0))	Who the dispense is for Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
performer	S	1..*	BackboneElement	Who performed event
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
actor	SO	1..1	Reference(IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0) | IE MPD Organization(0.1.0))	Individual who was performing Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
authorizingPrescription	SO	1..1	Reference(IE MPD MedicationRequest (ePrescription)(0.1.0))	Medication order that authorizes the dispense Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
quantity	SO	1..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
whenHandedOver	S	0..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction	SO	0..*	DosageEuMpd(1.0.0)	How the medication is to be used by the patient or administered by the caregiver Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	Σ	0..1	boolean	Take "as needed" (for x)
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
wasSubstituted	S	1..1	boolean	Whether a substitution was or was not performed on the dispense
type	S	0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason	S	0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.status	Base	required	Medication dispense status codes	📍4.0.1	FHIR Std.
MedicationDispense.statusReason[x]	Base	example	Medication dispense status reason codes	📍4.0.1	FHIR Std.
MedicationDispense.medication[x]	Base	extensible	IE MPD Medication Codes	📍0.1.0	This IG
MedicationDispense.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationDispense.substitution.​type	Base	example	ActSubstanceAdminSubstitutionCode	📍3.0.0	THO v7.4
MedicationDispense.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📍3.0.0	THO v7.4

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	MedicationDispense.implicitRules, MedicationDispense.extension, MedicationDispense.extension:renderedDosageInstruction, MedicationDispense.extension:recorded, MedicationDispense.extension:receiverRelatedPerson, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.status, MedicationDispense.statusReason[x], MedicationDispense.medication[x], MedicationDispense.medication[x]:medicationReference, MedicationDispense.subject, MedicationDispense.performer, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.actor, MedicationDispense.authorizingPrescription, MedicationDispense.quantity, MedicationDispense.whenHandedOver, MedicationDispense.receiver, MedicationDispense.note, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.asNeeded[x], MedicationDispense.dosageInstruction.asNeeded[x]:asNeededBoolean, MedicationDispense.substitution, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type, MedicationDispense.substitution.reason	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationDispense.extension, MedicationDispense.extension:renderedDosageInstruction, MedicationDispense.extension:recorded, MedicationDispense.extension:receiverRelatedPerson, MedicationDispense.modifierExtension, MedicationDispense.performer.modifierExtension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.substitution.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-md-handover-1	error	MedicationDispense	A completed dispense SHALL record when the medication was handed over (HIQA EP 6.8 Date of dispensation, Mandatory)	status = 'completed' implies whenHandedOver.exists()
ie-md-status-1	error	MedicationDispense	A non-dispensation (declined, stopped, cancelled or on-hold) SHALL state the reason (HIQA EP 6.3.2)	(status = 'declined' or status = 'stopped' or status = 'cancelled' or status = 'on-hold') implies statusReason.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared	whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

This structure is derived from MedicationDispenseEuMpd

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispenseEuMpd(1.0.0)	Dispensing a medication to a named patient
Slices for extension				Content/Rules for all slices
extension:recorded	S	1..1	0.1.0	R5: When the recording of the dispense started (new)
extension:receiverRelatedPerson		0..1	Reference(IE MPD RelatedPerson(0.1.0))	IE MPD Dispense Receiver (Related Person) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-dispense-receiver-related-person
identifier	S	1..*	Identifier	External identifier
status	S	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
statusReason[x]	S	0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed
medication[x]	S	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Binding: IEMpdMedicationCodes (0.1.0) (extensible)
subject	S	1..1	Reference(IE MPD Patient (ePrescription/eDispensation)(0.1.0))	Who the dispense is for
performer	S	1..*	BackboneElement	Who performed event
actor	S	1..1	Reference(IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0) | IE MPD Organization(0.1.0))	Individual who was performing
authorizingPrescription	S	1..1	Reference(IE MPD MedicationRequest (ePrescription)(0.1.0))	Medication order that authorizes the dispense
quantity	S	1..1	SimpleQuantity(4.0.1)	Amount dispensed
whenHandedOver	S	0..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction	S	0..*	DosageEuMpd(1.0.0)	How the medication is to be used by the patient or administered by the caregiver
text	S	0..1	string	Free text dosage instructions e.g. SIG
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
wasSubstituted	S	1..1	boolean	Whether a substitution was or was not performed on the dispense
type	S	0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed
reason	S	0..*	CodeableConcept	Why was substitution made
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.medication[x]	Base	extensible	IE MPD Medication Codes	📍0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ie-md-handover-1	error	MedicationDispense	A completed dispense SHALL record when the medication was handed over (HIQA EP 6.8 Date of dispensation, Mandatory)	status = 'completed' implies whenHandedOver.exists()
ie-md-status-1	error	MedicationDispense	A non-dispensation (declined, stopped, cancelled or on-hold) SHALL state the reason (HIQA EP 6.3.2)	(status = 'declined' or status = 'stopped' or status = 'cancelled' or status = 'on-hold') implies statusReason.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispenseEuMpd(1.0.0)	Dispensing a medication to a named patient Constraints: mdd-1, ie-md-status-1, ie-md-handover-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:renderedDosageInstruction	O	0..1	markdown	Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1 Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
extension:recorded	SO	1..1	dateTime	R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1 Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
extension:receiverRelatedPerson		0..1	Reference(IE MPD RelatedPerson(0.1.0))	IE MPD Dispense Receiver (Related Person) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-dispense-receiver-related-person Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	S	1..*	Identifier	External identifier
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SOΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
statusReason[x]	S	0..1		Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
category		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for medication[x]	SOΣ	1..1		What medication was supplied Slice: Unordered, Closed by type:$this Binding: IEMpdMedicationCodes (0.1.0) (extensible) Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication: MPD(1.0.0))	What medication was supplied
subject	SOΣ	1..1	Reference(IE MPD Patient (ePrescription/eDispensation)(0.1.0))	Who the dispense is for Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer	S	1..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor	SO	1..1	Reference(IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0) | IE MPD Organization(0.1.0))	Individual who was performing Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	SO	1..1	Reference(IE MPD MedicationRequest (ePrescription)(0.1.0))	Medication order that authorizes the dispense Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (3.0.0) (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	SO	1..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
daysSupply		0..1	SimpleQuantity(4.0.1)	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	S	0..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction	SO	0..*	DosageEuMpd(1.0.0)	How the medication is to be used by the patient or administered by the caregiver Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	OΣ	0..1	string	Patient or consumer oriented instructions Obligations Actor Source SHOULD:able-to-populate Producer from Dosage: MPD
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
event	Σ	0..*	dateTime	When the event occurs
repeat	OΣC	0..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
bounds[x]	OΣ	0..1		Length/Range of lengths, or (Start and/or end) limits Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	OΣ	0..1	positiveInt	Event occurs frequency times per period Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	OΣ	0..1	decimal	Event occurs frequency times per period Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	OΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	Σ	0..1	boolean	Take "as needed" (for x)
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	OΣ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. Obligations Actor Source SHOULD:able-to-populate Producer from Dosage: MPD
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	OΣ	0..1		Amount of medication per dose Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
wasSubstituted	S	1..1	boolean	Whether a substitution was or was not performed on the dispense
type	S	0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason	S	0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue		0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationDispense.status	Base	required	Medication dispense status codes	📍4.0.1	FHIR Std.
MedicationDispense.statusReason[x]	Base	example	Medication dispense status reason codes	📍4.0.1	FHIR Std.
MedicationDispense.category	Base	preferred	Medication dispense category codes	📍4.0.1	FHIR Std.
MedicationDispense.medication[x]	Base	extensible	IE MPD Medication Codes	📍0.1.0	This IG
MedicationDispense.performer.​function	Base	example	Medication dispense performer function codes	📍4.0.1	FHIR Std.
MedicationDispense.type	Base	example	ActPharmacySupplyType	📍3.0.0	THO v7.4
MedicationDispense.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​timing.code	Base	preferred	TimingAbbreviation	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.
MedicationDispense.substitution.​type	Base	example	ActSubstanceAdminSubstitutionCode	📍3.0.0	THO v7.4
MedicationDispense.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📍3.0.0	THO v7.4

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	MedicationDispense.meta, MedicationDispense.implicitRules, MedicationDispense.language, MedicationDispense.text, MedicationDispense.extension, MedicationDispense.extension:renderedDosageInstruction, MedicationDispense.extension:recorded, MedicationDispense.extension:receiverRelatedPerson, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.partOf, MedicationDispense.status, MedicationDispense.statusReason[x], MedicationDispense.category, MedicationDispense.medication[x], MedicationDispense.medication[x]:medicationReference, MedicationDispense.subject, MedicationDispense.context, MedicationDispense.supportingInformation, MedicationDispense.performer, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.function, MedicationDispense.performer.actor, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.type, MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.whenPrepared, MedicationDispense.whenHandedOver, MedicationDispense.destination, MedicationDispense.receiver, MedicationDispense.note, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.sequence, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.additionalInstruction, MedicationDispense.dosageInstruction.patientInstruction, MedicationDispense.dosageInstruction.timing, MedicationDispense.dosageInstruction.timing.extension, MedicationDispense.dosageInstruction.timing.modifierExtension, MedicationDispense.dosageInstruction.timing.event, MedicationDispense.dosageInstruction.timing.repeat, MedicationDispense.dosageInstruction.timing.repeat.extension, MedicationDispense.dosageInstruction.timing.repeat.bounds[x], MedicationDispense.dosageInstruction.timing.repeat.count, MedicationDispense.dosageInstruction.timing.repeat.countMax, MedicationDispense.dosageInstruction.timing.repeat.duration, MedicationDispense.dosageInstruction.timing.repeat.durationMax, MedicationDispense.dosageInstruction.timing.repeat.durationUnit, MedicationDispense.dosageInstruction.timing.repeat.frequency, MedicationDispense.dosageInstruction.timing.repeat.frequencyMax, MedicationDispense.dosageInstruction.timing.repeat.period, MedicationDispense.dosageInstruction.timing.repeat.periodMax, MedicationDispense.dosageInstruction.timing.repeat.periodUnit, MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek, MedicationDispense.dosageInstruction.timing.repeat.timeOfDay, MedicationDispense.dosageInstruction.timing.repeat.when, MedicationDispense.dosageInstruction.timing.repeat.offset, MedicationDispense.dosageInstruction.timing.code, MedicationDispense.dosageInstruction.asNeeded[x], MedicationDispense.dosageInstruction.asNeeded[x]:asNeededBoolean, MedicationDispense.dosageInstruction.site, MedicationDispense.dosageInstruction.route, MedicationDispense.dosageInstruction.method, MedicationDispense.dosageInstruction.doseAndRate, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.dosageInstruction.doseAndRate.type, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x], MedicationDispense.dosageInstruction.maxDosePerPeriod, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime, MedicationDispense.substitution, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type, MedicationDispense.substitution.reason, MedicationDispense.substitution.responsibleParty, MedicationDispense.detectedIssue, MedicationDispense.eventHistory	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationDispense.extension, MedicationDispense.extension:renderedDosageInstruction, MedicationDispense.extension:recorded, MedicationDispense.extension:receiverRelatedPerson, MedicationDispense.modifierExtension, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.timing.extension, MedicationDispense.dosageInstruction.timing.modifierExtension, MedicationDispense.dosageInstruction.timing.repeat.extension, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-md-handover-1	error	MedicationDispense	A completed dispense SHALL record when the medication was handed over (HIQA EP 6.8 Date of dispensation, Mandatory)	status = 'completed' implies whenHandedOver.exists()
ie-md-status-1	error	MedicationDispense	A non-dispensation (declined, stopped, cancelled or on-hold) SHALL state the reason (HIQA EP 6.3.2)	(status = 'declined' or status = 'stopped' or status = 'cancelled' or status = 'on-hold') implies statusReason.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared	whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
tim-1	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationDispense.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationDispense.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationDispense.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

This structure is derived from MedicationDispenseEuMpd

Summary

Mandatory: 4 elements
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• IE MPD Patient (ePrescription/eDispensation) (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-eprescription|0.1.0)
• IE MPD Practitioner (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitioner|0.1.0)
• IE MPD PractitionerRole (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitionerrole|0.1.0)
• IE MPD Organization (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-organization|0.1.0)
• IE MPD MedicationRequest (ePrescription) (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0)

Extensions

This structure refers to these extensions:

• https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-dispense-receiver-related-person|0.1.0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispenseEuMpd(1.0.0)	Dispensing a medication to a named patient Constraints: mdd-1, ie-md-status-1, ie-md-handover-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:renderedDosageInstruction	O	0..1	markdown	Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1 Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
extension:recorded	SO	1..1	dateTime	R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1 Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
extension:receiverRelatedPerson		0..1	Reference(IE MPD RelatedPerson(0.1.0))	IE MPD Dispense Receiver (Related Person) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-dispense-receiver-related-person Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	S	1..*	Identifier	External identifier
status	?!SOΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
statusReason[x]	S	0..1		Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
Slices for medication[x]	SOΣ	1..1		What medication was supplied Slice: Unordered, Closed by type:$this Binding: IEMpdMedicationCodes (0.1.0) (extensible) Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication: MPD(1.0.0))	What medication was supplied
subject	SOΣ	1..1	Reference(IE MPD Patient (ePrescription/eDispensation)(0.1.0))	Who the dispense is for Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
performer	S	1..*	BackboneElement	Who performed event
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
actor	SO	1..1	Reference(IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0) | IE MPD Organization(0.1.0))	Individual who was performing Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
authorizingPrescription	SO	1..1	Reference(IE MPD MedicationRequest (ePrescription)(0.1.0))	Medication order that authorizes the dispense Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
quantity	SO	1..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
whenHandedOver	S	0..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction	SO	0..*	DosageEuMpd(1.0.0)	How the medication is to be used by the patient or administered by the caregiver Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	Σ	0..1	boolean	Take "as needed" (for x)
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
wasSubstituted	S	1..1	boolean	Whether a substitution was or was not performed on the dispense
type	S	0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason	S	0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.status	Base	required	Medication dispense status codes	📍4.0.1	FHIR Std.
MedicationDispense.statusReason[x]	Base	example	Medication dispense status reason codes	📍4.0.1	FHIR Std.
MedicationDispense.medication[x]	Base	extensible	IE MPD Medication Codes	📍0.1.0	This IG
MedicationDispense.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationDispense.substitution.​type	Base	example	ActSubstanceAdminSubstitutionCode	📍3.0.0	THO v7.4
MedicationDispense.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📍3.0.0	THO v7.4

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	MedicationDispense.implicitRules, MedicationDispense.extension, MedicationDispense.extension:renderedDosageInstruction, MedicationDispense.extension:recorded, MedicationDispense.extension:receiverRelatedPerson, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.status, MedicationDispense.statusReason[x], MedicationDispense.medication[x], MedicationDispense.medication[x]:medicationReference, MedicationDispense.subject, MedicationDispense.performer, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.actor, MedicationDispense.authorizingPrescription, MedicationDispense.quantity, MedicationDispense.whenHandedOver, MedicationDispense.receiver, MedicationDispense.note, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.asNeeded[x], MedicationDispense.dosageInstruction.asNeeded[x]:asNeededBoolean, MedicationDispense.substitution, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type, MedicationDispense.substitution.reason	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationDispense.extension, MedicationDispense.extension:renderedDosageInstruction, MedicationDispense.extension:recorded, MedicationDispense.extension:receiverRelatedPerson, MedicationDispense.modifierExtension, MedicationDispense.performer.modifierExtension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.substitution.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-md-handover-1	error	MedicationDispense	A completed dispense SHALL record when the medication was handed over (HIQA EP 6.8 Date of dispensation, Mandatory)	status = 'completed' implies whenHandedOver.exists()
ie-md-status-1	error	MedicationDispense	A non-dispensation (declined, stopped, cancelled or on-hold) SHALL state the reason (HIQA EP 6.3.2)	(status = 'declined' or status = 'stopped' or status = 'cancelled' or status = 'on-hold') implies statusReason.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared	whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared

Differential View

This structure is derived from MedicationDispenseEuMpd

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispenseEuMpd(1.0.0)	Dispensing a medication to a named patient
Slices for extension				Content/Rules for all slices
extension:recorded	S	1..1	0.1.0	R5: When the recording of the dispense started (new)
extension:receiverRelatedPerson		0..1	Reference(IE MPD RelatedPerson(0.1.0))	IE MPD Dispense Receiver (Related Person) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-dispense-receiver-related-person
identifier	S	1..*	Identifier	External identifier
status	S	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
statusReason[x]	S	0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed
medication[x]	S	1..1	CodeableConcept, Reference(Medication)	What medication was supplied Binding: IEMpdMedicationCodes (0.1.0) (extensible)
subject	S	1..1	Reference(IE MPD Patient (ePrescription/eDispensation)(0.1.0))	Who the dispense is for
performer	S	1..*	BackboneElement	Who performed event
actor	S	1..1	Reference(IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0) | IE MPD Organization(0.1.0))	Individual who was performing
authorizingPrescription	S	1..1	Reference(IE MPD MedicationRequest (ePrescription)(0.1.0))	Medication order that authorizes the dispense
quantity	S	1..1	SimpleQuantity(4.0.1)	Amount dispensed
whenHandedOver	S	0..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction	S	0..*	DosageEuMpd(1.0.0)	How the medication is to be used by the patient or administered by the caregiver
text	S	0..1	string	Free text dosage instructions e.g. SIG
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
wasSubstituted	S	1..1	boolean	Whether a substitution was or was not performed on the dispense
type	S	0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed
reason	S	0..*	CodeableConcept	Why was substitution made
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.medication[x]	Base	extensible	IE MPD Medication Codes	📍0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ie-md-handover-1	error	MedicationDispense	A completed dispense SHALL record when the medication was handed over (HIQA EP 6.8 Date of dispensation, Mandatory)	status = 'completed' implies whenHandedOver.exists()
ie-md-status-1	error	MedicationDispense	A non-dispensation (declined, stopped, cancelled or on-hold) SHALL state the reason (HIQA EP 6.3.2)	(status = 'declined' or status = 'stopped' or status = 'cancelled' or status = 'on-hold') implies statusReason.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationDispense	C	0..*	MedicationDispenseEuMpd(1.0.0)	Dispensing a medication to a named patient Constraints: mdd-1, ie-md-status-1, ie-md-handover-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:renderedDosageInstruction	O	0..1	markdown	Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction Constraints: ext-1 Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
extension:recorded	SO	1..1	dateTime	R5: When the recording of the dispense started (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded Constraints: ext-1 Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
extension:receiverRelatedPerson		0..1	Reference(IE MPD RelatedPerson(0.1.0))	IE MPD Dispense Receiver (Related Person) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-dispense-receiver-related-person Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	S	1..*	Identifier	External identifier
partOf		0..*	Reference(Procedure)	Event that dispense is part of
status	?!SOΣ	1..1	code	preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown Binding: MedicationDispense Status Codes (required): A coded concept specifying the state of the dispense event. Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
statusReason[x]	S	0..1		Why a dispense was not performed Binding: MedicationDispense Status Reason Codes (example): A code describing why a dispense was not performed.
statusReasonCodeableConcept			CodeableConcept
statusReasonReference			Reference(DetectedIssue)
category		0..1	CodeableConcept	Type of medication dispense Binding: MedicationDispense Category Codes (preferred): A code describing where the dispensed medication is expected to be consumed or administered.
Slices for medication[x]	SOΣ	1..1		What medication was supplied Slice: Unordered, Closed by type:$this Binding: IEMpdMedicationCodes (0.1.0) (extensible) Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication: MPD(1.0.0))	What medication was supplied
subject	SOΣ	1..1	Reference(IE MPD Patient (ePrescription/eDispensation)(0.1.0))	Who the dispense is for Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation		0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer	S	1..*	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: MedicationDispense Performer Function Codes (example): A code describing the role an individual played in dispensing a medication.
actor	SO	1..1	Reference(IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0) | IE MPD Organization(0.1.0))	Individual who was performing Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
location		0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	SO	1..1	Reference(IE MPD MedicationRequest (ePrescription)(0.1.0))	Medication order that authorizes the dispense Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ActPharmacySupplyType (3.0.0) (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	SO	1..1	SimpleQuantity(4.0.1)	Amount dispensed Obligations Actor Source SHALL:able-to-populate Producer from MedicationDispense: MPD
daysSupply		0..1	SimpleQuantity(4.0.1)	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	S	0..1	dateTime	Date and time when the medication was handed over. When not present, the time of dispensation is assumed to be the time of issuing the dispense record.
destination		0..1	Reference(Location)	Where the medication was sent
receiver		0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense
dosageInstruction	SO	0..*	DosageEuMpd(1.0.0)	How the medication is to be used by the patient or administered by the caregiver Obligations Actor Source SHOULD:able-to-populate Producer from MedicationDispense: MPD
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	OΣ	0..1	string	Patient or consumer oriented instructions Obligations Actor Source SHOULD:able-to-populate Producer from Dosage: MPD
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
event	Σ	0..*	dateTime	When the event occurs
repeat	OΣC	0..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
bounds[x]	OΣ	0..1		Length/Range of lengths, or (Start and/or end) limits Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	OΣ	0..1	positiveInt	Event occurs frequency times per period Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	OΣ	0..1	decimal	Event occurs frequency times per period Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	OΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for asNeeded[x]	Σ	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	Σ	0..1	boolean	Take "as needed" (for x)
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	OΣ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. Obligations Actor Source SHOULD:able-to-populate Producer from Dosage: MPD
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	OΣ	0..1		Amount of medication per dose Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
wasSubstituted	S	1..1	boolean	Whether a substitution was or was not performed on the dispense
type	S	0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason	S	0..*	CodeableConcept	Why was substitution made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty		0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue		0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory		0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationDispense.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationDispense.status	Base	required	Medication dispense status codes	📍4.0.1	FHIR Std.
MedicationDispense.statusReason[x]	Base	example	Medication dispense status reason codes	📍4.0.1	FHIR Std.
MedicationDispense.category	Base	preferred	Medication dispense category codes	📍4.0.1	FHIR Std.
MedicationDispense.medication[x]	Base	extensible	IE MPD Medication Codes	📍0.1.0	This IG
MedicationDispense.performer.​function	Base	example	Medication dispense performer function codes	📍4.0.1	FHIR Std.
MedicationDispense.type	Base	example	ActPharmacySupplyType	📍3.0.0	THO v7.4
MedicationDispense.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​timing.code	Base	preferred	TimingAbbreviation	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationDispense.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.
MedicationDispense.substitution.​type	Base	example	ActSubstanceAdminSubstitutionCode	📍3.0.0	THO v7.4
MedicationDispense.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📍3.0.0	THO v7.4

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationDispense	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationDispense	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationDispense	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationDispense	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	MedicationDispense.meta, MedicationDispense.implicitRules, MedicationDispense.language, MedicationDispense.text, MedicationDispense.extension, MedicationDispense.extension:renderedDosageInstruction, MedicationDispense.extension:recorded, MedicationDispense.extension:receiverRelatedPerson, MedicationDispense.modifierExtension, MedicationDispense.identifier, MedicationDispense.partOf, MedicationDispense.status, MedicationDispense.statusReason[x], MedicationDispense.category, MedicationDispense.medication[x], MedicationDispense.medication[x]:medicationReference, MedicationDispense.subject, MedicationDispense.context, MedicationDispense.supportingInformation, MedicationDispense.performer, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.performer.function, MedicationDispense.performer.actor, MedicationDispense.location, MedicationDispense.authorizingPrescription, MedicationDispense.type, MedicationDispense.quantity, MedicationDispense.daysSupply, MedicationDispense.whenPrepared, MedicationDispense.whenHandedOver, MedicationDispense.destination, MedicationDispense.receiver, MedicationDispense.note, MedicationDispense.dosageInstruction, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.sequence, MedicationDispense.dosageInstruction.text, MedicationDispense.dosageInstruction.additionalInstruction, MedicationDispense.dosageInstruction.patientInstruction, MedicationDispense.dosageInstruction.timing, MedicationDispense.dosageInstruction.timing.extension, MedicationDispense.dosageInstruction.timing.modifierExtension, MedicationDispense.dosageInstruction.timing.event, MedicationDispense.dosageInstruction.timing.repeat, MedicationDispense.dosageInstruction.timing.repeat.extension, MedicationDispense.dosageInstruction.timing.repeat.bounds[x], MedicationDispense.dosageInstruction.timing.repeat.count, MedicationDispense.dosageInstruction.timing.repeat.countMax, MedicationDispense.dosageInstruction.timing.repeat.duration, MedicationDispense.dosageInstruction.timing.repeat.durationMax, MedicationDispense.dosageInstruction.timing.repeat.durationUnit, MedicationDispense.dosageInstruction.timing.repeat.frequency, MedicationDispense.dosageInstruction.timing.repeat.frequencyMax, MedicationDispense.dosageInstruction.timing.repeat.period, MedicationDispense.dosageInstruction.timing.repeat.periodMax, MedicationDispense.dosageInstruction.timing.repeat.periodUnit, MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek, MedicationDispense.dosageInstruction.timing.repeat.timeOfDay, MedicationDispense.dosageInstruction.timing.repeat.when, MedicationDispense.dosageInstruction.timing.repeat.offset, MedicationDispense.dosageInstruction.timing.code, MedicationDispense.dosageInstruction.asNeeded[x], MedicationDispense.dosageInstruction.asNeeded[x]:asNeededBoolean, MedicationDispense.dosageInstruction.site, MedicationDispense.dosageInstruction.route, MedicationDispense.dosageInstruction.method, MedicationDispense.dosageInstruction.doseAndRate, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.dosageInstruction.doseAndRate.type, MedicationDispense.dosageInstruction.doseAndRate.dose[x], MedicationDispense.dosageInstruction.doseAndRate.rate[x], MedicationDispense.dosageInstruction.maxDosePerPeriod, MedicationDispense.dosageInstruction.maxDosePerAdministration, MedicationDispense.dosageInstruction.maxDosePerLifetime, MedicationDispense.substitution, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension, MedicationDispense.substitution.wasSubstituted, MedicationDispense.substitution.type, MedicationDispense.substitution.reason, MedicationDispense.substitution.responsibleParty, MedicationDispense.detectedIssue, MedicationDispense.eventHistory	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationDispense.extension, MedicationDispense.extension:renderedDosageInstruction, MedicationDispense.extension:recorded, MedicationDispense.extension:receiverRelatedPerson, MedicationDispense.modifierExtension, MedicationDispense.performer.extension, MedicationDispense.performer.modifierExtension, MedicationDispense.dosageInstruction.extension, MedicationDispense.dosageInstruction.modifierExtension, MedicationDispense.dosageInstruction.timing.extension, MedicationDispense.dosageInstruction.timing.modifierExtension, MedicationDispense.dosageInstruction.timing.repeat.extension, MedicationDispense.dosageInstruction.doseAndRate.extension, MedicationDispense.substitution.extension, MedicationDispense.substitution.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-md-handover-1	error	MedicationDispense	A completed dispense SHALL record when the medication was handed over (HIQA EP 6.8 Date of dispensation, Mandatory)	status = 'completed' implies whenHandedOver.exists()
ie-md-status-1	error	MedicationDispense	A non-dispensation (declined, stopped, cancelled or on-hold) SHALL state the reason (HIQA EP 6.3.2)	(status = 'declined' or status = 'stopped' or status = 'cancelled' or status = 'on-hold') implies statusReason.exists()
mdd-1	error	MedicationDispense	whenHandedOver cannot be before whenPrepared	whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared
tim-1	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationDispense.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationDispense.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationDispense.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationDispense.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationDispense.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

This structure is derived from MedicationDispenseEuMpd

Summary

Mandatory: 4 elements
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• IE MPD Patient (ePrescription/eDispensation) (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-eprescription|0.1.0)
• IE MPD Practitioner (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitioner|0.1.0)
• IE MPD PractitionerRole (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitionerrole|0.1.0)
• IE MPD Organization (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-organization|0.1.0)
• IE MPD MedicationRequest (ePrescription) (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription|0.1.0)

Extensions

This structure refers to these extensions:

• https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-dispense-receiver-related-person|0.1.0